APPLICATION DOCUMENTS COVER FORM- NEW

1 APPLICATION DOCUMENTS COVER form INSTRUCTIONS Please complete, print and attach this form to any document (s)senttothe Office of Admission and Enrollment. The information provided on this form will only be used to match your DOCUMENTS to your APPLICATION . Choosing not to use this COVER form could delay your DOCUMENTS from being processed in a timely manner. We highly encourage you to submit the online APPLICATION , which will create your UTD ID, before sending any supporting documentation. Do NOT open sealed official DOCUMENTS to place this coversheet inside, doing so will make your DOCUMENTS unofficial. If you send a group of DOCUMENTS in one packet, only one form is needed per packet submitted.

2 Additional copies of this form can be found by logging into Galaxy under Orion Self Service in the Admissions Forms Folder. APPLICATION INFORMATION Please ensure that the information you list on this form matches the information you listed on your APPLICATION . Full legal name as it appears on your APPLICATION : _____ _____ _____ Last Name/Family Name First Name Middle Initial UTD ID or Net ID (if known): _____ Date of Birth (mm/dd/yyyy): _____/_____/_____ Email (used on APPLICATION ): _____ APPLICATION ID #: _____ Check one: Undergraduate Applicant Graduate Applicant Intended Degree/Major: _____ Term Applied to (Term and Year): Fall Spring Summer _____ Date APPLICATION Submitted: _____/_____/_____ Check here if you have NOT submitted your APPLICATION for admission.

3 MAILING INSTRUCTIONS Submit your DOCUMENTS along with this COVER form to the address below: The University of Texas at Dallas Office of Admission and Enrollment 800 W. Campbell Rd. Richardson, TX 75080 3021